| NPI | 1205594959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LCSW2120482) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166001762) |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2026-02-02 |