| NPI | 1952898561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LCSW229067) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: LA 14218) |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2024-12-02 |