| NPI | 1578993028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MA 11286) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 314805) |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2020-06-03 |