| NPI | 1912177312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12433) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC10013) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2025-02-28 |