| NPI | 1073082921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MA 12185-MH-CC) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 313342) |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2021-11-16 |