| NPI | 1750969572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 3243) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 226540) |
| 1041C0700X Social Worker, Clinical (Licence: MA 127474) | |
| 1041C0700X Social Worker, Clinical (Licence: VT 089.0136313TELE) | |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2025-01-15 |