| NPI | 1912670530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW127015) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: 226995) |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2023-10-19 |