| NPI | 1831420488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 81555) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 080234-1) |
| 104100000X Social Worker (Licence: ME MC12964) | |
| 1041C0700X Social Worker, Clinical (Licence: ME LC14012) | |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2021-05-04 |