| NPI | 1124640917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 69724) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC18411) |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2026-05-08 |