| NPI | 1225240732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NH 287) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 107215) |
| 1041C0700X Social Worker Clinical (Licence: NC C013780) | |
| 1041C0700X Social Worker Clinical (Licence: ME LC18483) | |
| 1041C0700X Social Worker Clinical (Licence: VT 089.0134244) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2022-11-07 |