| NPI | 1427622356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: VA 0904002684) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC21577) |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2021-05-15 |
| Last Update Date | 2026-04-04 |