| NPI | 1376270975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 103137) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1144910) |
| 1041C0700X Social Worker, Clinical (Licence: CT 17067) | |
| 1041C0700X Social Worker, Clinical (Licence: ME LC26304) | |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2026-08-03 |