| NPI | 1295326320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 119798) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC16295) |
| 1041C0700X Social Worker, Clinical (Licence: IN 33004096) | |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2024-01-30 |