| NPI | 1568295699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW128565) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LCSW226528) |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2025-04-09 |