NPI | 1538641956 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 111619-SW-LICSW) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 111619) |
Enumeration Date | 2018-09-01 |
Last Update Date | 2018-09-01 |