| NPI | 1497227227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MA 110838) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 110838) |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2018-12-18 |