| NPI | 1831781400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 13570) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 126511) |
| 1041C0700X Social Worker, Clinical (Licence: ME 22729) | |
| 1041C0700X Social Worker, Clinical (Licence: NH 5095) | |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2025-05-19 |