| NPI | 1851642870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 117065) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 16759) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2024-12-03 |