| NPI | 1578628111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MA LICSW127442) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA LCSW218998) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2024-03-20 |