NPI | 1285132431 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1020199) |
Additional Taxonomies | 104100000X Social Worker (Licence: MA 1020199) |
Enumeration Date | 2018-01-23 |
Last Update Date | 2018-01-23 |