NPI | 1326342429 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 217225) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 1998) |
Enumeration Date | 2011-01-04 |
Last Update Date | 2022-02-25 |