| NPI | 1376396085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 128124) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 97274) |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-10-16 |