| NPI | 1497207526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC17359) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0122154) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2021-03-31 |