| NPI | 1306321740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1021087) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |