| NPI | 1669077822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW126974) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09925390) |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2024-11-15 |