| NPI | 1992182281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW120694) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 215258) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2026-08-26 |