| NPI | 1801176938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 1931) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA LCSW 217325) |
| 104100000X Social Worker (Licence: ME MC14416) | |
| Enumeration Date | 2011-08-21 |
| Last Update Date | 2016-04-25 |