| NPI | 1225309578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW124207) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924262) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2024-04-24 |