| NPI | 1730363268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2223) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LCSW 214798) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW60316853) | |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2021-09-14 |