| NPI | 1659899524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 000124543) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PR 11952) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2022-01-24 |