| NPI | 1376144311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 000226334) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MA 000226334) |
| 101YS0200X Counselor School (Licence: MA 000226334) | |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |