| NPI | 1821384124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC17744) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 007920) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.2204054) | |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2023-05-26 |