| NPI | 1043787799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME 24186) |
| 104100000X Social Worker (Licence: NY 11837801) | |
| 1041C0700X Social Worker, Clinical (Licence: MA 124301) | |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2025-04-15 |