| NPI | 1609390830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 122382) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA 134364) |
| Enumeration Date | 2017-07-30 |
| Last Update Date | 2020-12-18 |