| NPI | 1942508890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 123974) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 011558) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2025-08-28 |