| NPI | 1629704374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 126109-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC21277) |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2025-02-25 |