| NPI | 1477811354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 117725) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL TPSW4298) |
| 1041C0700X Social Worker, Clinical (Licence: NC C012518) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 088691) | |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2026-06-24 |