| NPI | 1245715606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MA 113709) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 113709-SW-LICSW) |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2018-10-01 |