| NPI | 1285828244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904006622) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC14085) |
| 1041C0700X Social Worker, Clinical (Licence: RI ISW02176) | |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2022-12-08 |