| NPI | 1568949667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 222023) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 129057) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2025-08-12 |