| NPI | 1215990262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW 0625) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1142514) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2026-02-11 |