| NPI | 1235635186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 223674) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 223674) |
| Enumeration Date | 2018-03-31 |
| Last Update Date | 2023-04-03 |