| 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 |