| NPI | 1508319278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-17757) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC16139) |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2023-03-30 |