| NPI | 1417435140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 123132) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0134650) |
| 1041C0700X Social Worker, Clinical (Licence: ME LC22437) | |
| 1041C0700X Social Worker, Clinical (Licence: NH 3759) | |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2025-04-29 |