| NPI | 1508346743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 127925) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 104242-1) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2024-08-14 |