| NPI | 1326563420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 10985) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 414431) |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2023-02-23 |