| NPI | 1043106925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LCSW2120087) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA LCSW2120087) |
| 1041C0700X Social Worker, Clinical (Licence: MA LCSW2120087) | |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-06-16 |