| NPI | 1447685797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 125898) |
| 1041C0700X Social Worker, Clinical (Licence: MA 125898) | |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2024-06-09 |