| NPI | 1578936399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121792) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 89.0136321) |
| 1041C0700X Social Worker, Clinical (Licence: AZ 21391) | |
| 1041C0700X Social Worker, Clinical (Licence: IA 119539) | |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2025-02-07 |