| NPI | 1669733325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NH 2844) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 118524) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2025-08-15 |