| NPI | 1285833517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: UT 13276450-3501) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA LCSW215605) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2024-12-03 |