| NPI | 1194130955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 116441) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA LICSW123081) |
| 104100000X Social Worker (Licence: FL 119488) | |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2025-01-03 |