| NPI | 1346041159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1140727) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 129324) |
| Enumeration Date | 2025-03-19 |
| Last Update Date | 2026-01-02 |