| NPI | 1093165771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 125633) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW125633) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2024-03-08 |