| NPI | 1831745983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 11024-123) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA LICSW127031) |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2025-07-09 |