| NPI | 1316484132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC17770) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 122017) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2021-09-03 |