| NPI | 1306236047 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2249) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 221727) | 
| Enumeration Date | 2015-02-03 | 
| Last Update Date | 2023-09-25 |