| NPI | 1841717378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC23500) |
| 1041C0700X Social Worker, Clinical (Licence: PR 15317) | |
| 1041C0700X Social Worker, Clinical (Licence: MA LICSW126963) | |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926873) | |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2024-12-12 |