| NPI | 1962761361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 64962) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC13577) |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2024-01-31 |