NPI | 1033816350 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LCSW2121402) |
Additional Taxonomies | 174400000X Specialist |
Enumeration Date | 2023-02-08 |
Last Update Date | 2025-08-27 |