| NPI | 1306212139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1121109) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2015-08-16 |
| Last Update Date | 2026-05-20 |