| NPI | 1316308893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 217417) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MA 375773) |
| 101Y00000X Counselor (Licence: MA 217417) | |
| 101YM0800X Counselor, Mental Health (Licence: MA 217417) | |
| 101YP2500X Counselor, Professional (Licence: MA 217417) | |
| 104100000X Social Worker (Licence: MA 217417) | |
| 1041S0200X Social Worker, School (Licence: MA 375773) | |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-11 |