| NPI | 1609598234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1121217) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 228289) |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2025-04-11 |