NPI | 1073031258 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 123556) |
Additional Taxonomies | 1041S0200X Social Worker, School |
Enumeration Date | 2017-09-07 |
Last Update Date | 2021-06-23 |