| NPI | 1235400029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2417) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05398000) |
| 1041C0700X Social Worker, Clinical (Licence: VT 089.0134297) | |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2024-08-22 |