| NPI | 1639618887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC20149) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IA 085457) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2025-08-12 |