| NPI | 1407718604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1130577) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 32355) |
| Enumeration Date | 2025-11-26 |
| Last Update Date | 2025-11-26 |