| NPI | 1255189684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 5333C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW127718) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904016098) | |
| Enumeration Date | 2024-05-09 |
| Last Update Date | 2024-05-09 |