| NPI | 1649537481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC18684) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04580700) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2025-03-04 |