| NPI | 1720719446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MA 227811) |
| Additional Taxonomies | 104100000X Social Worker (Licence: VT 156.0133930) |
| 1041C0700X Social Worker, Clinical (Licence: NH 6004) | |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2026-07-07 |