| NPI | 1578939211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 125821) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2023-09-13 |