| NPI | 1770358368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC25531) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1143163) |
| Enumeration Date | 2023-11-24 |
| Last Update Date | 2026-02-19 |