| NPI | 1346306412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 6264) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 113770) |
| Enumeration Date | 2006-12-31 |
| Last Update Date | 2025-11-04 |