| NPI | 1265155386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 4943) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 1556) |
| 1041C0700X Social Worker, Clinical (Licence: MA LICSW128442) | |
| 1041C0700X Social Worker, Clinical (Licence: ME LC23949) | |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2025-03-05 |