| NPI | 1528634763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 097019) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 127895) |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2024-06-03 |