| NPI | 1609279769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC20922) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 089684) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2022-06-07 |