| NPI | 1750737797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME 17338) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 122242) |
| 1041C0700X Social Worker, Clinical (Licence: NH 2303) | |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2020-03-23 |