| NPI | 1356849673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1142831) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA LCSW229926) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2026-01-27 |