| NPI | 1487140984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 125062) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C013483) |
| 1041C0700X Social Worker, Clinical (Licence: VT 089.0135296) | |
| 1041C0700X Social Worker, Clinical (Licence: TX 112202) | |
| 1041C0700X Social Worker, Clinical (Licence: SC 15117) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06160900) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904014417) | |
| Enumeration Date | 2018-07-08 |
| Last Update Date | 2024-10-10 |