| NPI | 1518448497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 1017964-SW-LICSW) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 1017964-SW-LICSW) |
| 1041S0200X Social Worker School (Licence: MA 1017964-SW-LICSW) | |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |