| NPI | 1063265619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MA 228871) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MA 529466) |
| 104100000X Social Worker (Licence: MD 31120) | |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-04-11 |