NPI | 1073106852 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 128228) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2021-02-12 |
Last Update Date | 2024-07-08 |