| NPI | 1619986825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 106505) |
| Additional Taxonomies | 251S00000X (Licence: NH 2557) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2025-01-08 |