| NPI | 1104576503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW21558) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker (Licence: NC B001080) | |
| 104100000X Social Worker (Licence: NY 059895-01) | |
| 104100000X Social Worker (Licence: VT 156.0133937) | |
| 104100000X Social Worker (Licence: MT 50731) | |
| 1041C0700X Social Worker, Clinical (Licence: ME LC22631) | |
| 1041C0700X Social Worker, Clinical (Licence: FL 21558) | |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2024-04-11 |