| NPI | 1568914653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 122979) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2022-09-23 |