| NPI | 1174285522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC24191) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 18793) |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2026-06-11 |