| NPI | 1306391388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 123450) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical (Licence: DC LC200001403) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904014126) | |
| 1041C0700X Social Worker, Clinical (Licence: MA 224344) | |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2024-02-05 |