| NPI | 1518323641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 123101) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 021482554) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2021-09-13 |