| NPI | 1053662593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: NH 1871) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 118868) |
| 1041C0700X Social Worker, Clinical (Licence: NH 1871) | |
| 1041S0200X Social Worker, School (Licence: NH 162) | |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2021-06-13 |