| NPI | 1881242824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-23288) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 226107) |
| 104100000X Social Worker | |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2025-10-15 |