| NPI | 1659724011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 127971) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 096741) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2024-08-02 |