| NPI | 1023608932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 123713) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1023608932) |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2025-03-12 |