| NPI | 1285286914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 125516) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker Clinical (Licence: MA 000225883) | |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2023-08-25 |