| NPI | 1265982946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA LICSW126289) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: RI ISW02652) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2025-03-20 |