| NPI | 1659856243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: CT 011042) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MA 114116) |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2021-06-15 |