| NPI | 1508307240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 000123866) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 000224927) |
| 104100000X Social Worker (Licence: NY 099110) | |
| 1041C0700X Social Worker, Clinical (Licence: RI CSW01997) | |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2022-12-06 |