| NPI | 1194209643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 000123750) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 224012) |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2021-05-28 |