| NPI | 1235780107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 124288) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 224974) |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2025-04-28 |