| NPI | 1629882030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 014110) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW04279) |
| 1041C0700X Social Worker, Clinical (Licence: ME LC24378) | |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-02-05 |