| NPI | 1548596364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 5883) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1141254) |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2025-11-20 |