| NPI | 1013690932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1141750) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 15462) |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2025-09-16 |