| NPI | 1376152306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW128669) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 227839) |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2025-01-29 |