| NPI | 1053879106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 122442) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW17305) |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2022-03-11 |