| NPI | 1487117008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 115945) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 115845) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2022-02-07 |