| NPI | 1275192296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 122759) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC22920) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2025-05-05 |