| NPI | 1568933588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 909) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 100-909) |
| 1041C0700X Social Worker, Clinical (Licence: MA 100909-SW-LICSW) | |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |