| NPI | 1235560582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 123250) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 221436) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2022-02-28 |