| NPI | 1295377398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 122567) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0134251) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.2204079) | |
| 1041C0700X Social Worker, Clinical (Licence: PA CW020864) | |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2023-05-01 |