| NPI | 1033950233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW128199) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW22994) |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2025-06-04 |