| NPI | 1699433680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: ME LC22711) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL sw15759) |
| 1041C0700X Social Worker, Clinical (Licence: CT 15013) | |
| 1041C0700X Social Worker, Clinical (Licence: UT 14209558-3501) | |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2025-04-01 |