| NPI | 1134839632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW126187) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-11-25 |
| Last Update Date | 2026-04-09 |