| NPI | 1043525322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 119463) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 219405) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2022-01-27 |