| NPI | 1649453598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 125599) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: MA 22Q00000X) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2023-05-18 |