| NPI | 1801564661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 14334) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0136568) |
| 1041C0700X Social Worker, Clinical (Licence: CO 09931634) | |
| 1041C0700X Social Worker, Clinical (Licence: ME LC24930) | |
| Enumeration Date | 2021-09-05 |
| Last Update Date | 2025-06-28 |