| NPI | 1689428906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW24771) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1141354) |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2025-07-01 |