| NPI | 1588639140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: ME LC11412) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 115542) |
| 1041C0700X Social Worker, Clinical (Licence: MA 115542) | |
| 1041C0700X Social Worker, Clinical (Licence: ME LC11412) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2024-04-30 |