| NPI | 1851331482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME 19608) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW26433) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2021-02-01 |