| NPI | 1154998250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 124604) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MA 224529) |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2024-01-04 |