| NPI | 1679708085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 115883) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 215297) |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2023-11-02 |