| NPI | 1952102279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC25262) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 2120734) |
| Enumeration Date | 2025-03-22 |
| Last Update Date | 2025-12-17 |