| NPI | 1689840407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 113789) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C019706) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2026-03-30 |