| NPI | 1598199556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121129) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA s73409145) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2018-08-28 |