| NPI | 1578791182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 116459) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 215674) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2023-02-16 |