| NPI | 1073271854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 126830) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MA 530188) |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2024-05-02 |