| NPI | 1669874236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2362) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 121235) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2023-07-05 |