| NPI | 1639662497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW123861.) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC C014246) |
| 104100000X Social Worker | |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2025-05-02 |