| NPI | 1457089286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1142712) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2026-01-05 |