NPI | 1134833742 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1140446) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 228864) |
Enumeration Date | 2023-01-09 |
Last Update Date | 2025-05-12 |