| NPI | 1609137108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904008938) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ME LC20895) |
| 1041C0700X Social Worker Clinical (Licence: NC C009058) | |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2023-10-04 |