| NPI | 1659881373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW128524) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2017-10-08 |
| Last Update Date | 2024-10-24 |