| NPI | 1578040473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC25452) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC TLS1682CP) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2026-02-23 |