| NPI | 1487041299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 122032) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC200002375) |
| 1041C0700X Social Worker, Clinical (Licence: CT 11974) | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW20014) | |
| 1041C0700X Social Worker, Clinical (Licence: VT 089.0134516) | |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2026-04-03 |