| NPI | 1144849431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 124374) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 000225100) |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2022-12-28 |