| NPI | 1134635394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1140976) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2017-12-22 |
| Last Update Date | 2026-07-17 |