| NPI | 1578279808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1141004) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2025-10-09 |