| NPI | 1720541840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LCSW224588) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2024-11-19 |