| NPI | 1386191583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 122893) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 223120) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2020-08-12 |