| NPI | 1396252425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121184) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 221439) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-06-08 |