| NPI | 1003785379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1142803) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 107809) |
| Enumeration Date | 2025-11-04 |
| Last Update Date | 2026-08-27 |