| NPI | 1144981739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW007194) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ME LC23995) |
| 1041C0700X Social Worker Clinical (Licence: UT 14137606-3501) | |
| 1041C0700X Social Worker Clinical (Licence: VT 089.0134535) | |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2024-09-26 |