| NPI | 1861722795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME LC21774) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 000122153) |
| Enumeration Date | 2009-12-26 |
| Last Update Date | 2023-09-07 |