| NPI | 1306425152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1140554) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL TPSW5213) |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09931656) | |
| 1041C0700X Social Worker, Clinical (Licence: UT 365340-3501) | |
| 1041C0700X Social Worker, Clinical (Licence: RI ISW04396) | |
| 104100000X Social Worker (Licence: ID 9871068) | |
| 1041C0700X Social Worker, Clinical (Licence: ID 9871068) | |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2025-07-18 |