| NPI | 1164730024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 123128) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 413621) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2020-11-10 |