| NPI | 1821329673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC24342) |
| 1041C0700X Social Worker, Clinical (Licence: CT 007942) | |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2025-01-09 |