| NPI | 1538403712 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 122937) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 090643) | 
| 171M00000X Case Manager/Care Coordinator | |
| 1041C0700X Social Worker, Clinical (Licence: MA 222901) | |
| Enumeration Date | 2012-11-12 | 
| Last Update Date | 2024-06-06 |