| NPI | 1558645473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006614A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC12475) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2015-04-15 |