| NPI | 1780436832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL ISW17766) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1120180) |
| Enumeration Date | 2024-04-02 |
| Last Update Date | 2025-11-09 |