| NPI | 1588110738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 124037) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 224400) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2021-11-23 |