| NPI | 1134833742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1140446) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 228864) |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2025-05-12 |