| NPI | 1477676377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC21472) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60915818) |
| 1041C0700X Social Worker, Clinical (Licence: UT 12919117-3501) | |
| 1041C0700X Social Worker, Clinical (Licence: MA LICSW121964) | |
| 1041C0700X Social Worker, Clinical (Licence: CT 16737) | |
| Enumeration Date | 2007-04-08 |
| Last Update Date | 2026-04-27 |