| NPI | 1982375085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 229689) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 113848-01) |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2023-08-23 |