| NPI | 1518406479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 122997) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 007219) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2026-01-06 |