| NPI | 1154647196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW21216) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC13013) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2023-05-18 |