| NPI | 1346499381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 116094) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MA s20883105) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2024-06-05 |