| NPI | 1770721524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1237254995-SW-LICSW) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical (Licence: CA LCS 27762) | |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW23851) | |
| 1041C0700X Social Worker, Clinical (Licence: RI ISW02386) | |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2021-02-02 |