| NPI | 1013566397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI isw03623) |
| 1041C0700X Social Worker, Clinical (Licence: NC C019133) | |
| 1041C0700X Social Worker, Clinical (Licence: SC 18742) | |
| 1041C0700X Social Worker, Clinical (Licence: MA LICSW125690) | |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2026-09-30 |