| NPI | 1942366554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC18387) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 114808) |
| 1041C0700X Social Worker, Clinical (Licence: MA 213900) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2026-01-16 |