| NPI | 1639526965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 24350) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ME MC15909) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2024-05-07 |