| NPI | 1669146056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC22268) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 11098-123) |
| 104100000X Social Worker (Licence: WI 132395-121) | |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2024-11-14 |