| NPI | 1194207381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YS0200X Counselor, School (Licence: MA 115824-sw-licsw) |
| Additional Taxonomies | 156FX1202X Technician/Technologist, Optometric Technician (Licence: MA 115824-sw-licsw) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-09-04 |