| NPI | 1215304100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW123850) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 81239) |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical (Licence: CA 81239) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 137283) | |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2023-08-09 |