| NPI | 1154002335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1120749) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA LCSW228191) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2025-07-18 |