| NPI | 1023569613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008341) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW125798) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2025-06-16 |