| NPI | 1912968553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084083) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 117105) |
| 1041C0700X Social Worker, Clinical (Licence: ME LC14612) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2025-05-03 |