| NPI | 1700754264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC25651) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 5816) |
| Enumeration Date | 2025-10-27 |
| Last Update Date | 2026-03-10 |