| NPI | 1003073529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114177) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 114177) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2022-11-02 |