| NPI | 1528440039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 120585) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 220818) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2020-11-16 |