| NPI | 1164137600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 210881) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-01-19 |