| NPI | 1114476793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW127364) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 088901) |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW009057) | |
| 1041C0700X Social Worker, Clinical (Licence: WA LW60859065) | |
| Enumeration Date | 2016-09-24 |
| Last Update Date | 2024-10-09 |