| NPI | 1154806024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 107620-SW-LCSW) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 107620-SW-LICSW) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2018-09-26 |