| NPI | 1073819082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 216599) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 216599) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2018-04-09 |