| NPI | 1154801868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MA 101047) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 101047) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |