| NPI | 1558520304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH LC12993) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 1041C0700X Social Worker, Clinical (Licence: ME MC11634) | |
| 1041C0700X Social Worker, Clinical (Licence: MA 125555) | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2023-05-03 |