| NPI | 1073098026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 120848) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MA 120848-SW-LICSW) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2018-09-26 |