| NPI | 1487128948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1142820) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 1811268618) |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2026-05-12 |