| NPI | 1871011254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009008) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C017741) |
| 1041C0700X Social Worker, Clinical (Licence: ME LC25008) | |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2025-10-23 |