| NPI | 1629462049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 124361) |
| Additional Taxonomies | 104100000X Social Worker |
| 101Y00000X Counselor | |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2022-09-15 |