| NPI | 1235680950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2442) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC16739) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149018076) | |
| 1041C0700X Social Worker, Clinical (Licence: MA LICSW128171) | |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2024-12-05 |