| NPI | 1902203755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-35099) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC14843) |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2020-07-17 |