| NPI | 1235548348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC15740) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.014093) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2022-11-08 |