| NPI | 1699352096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: MA 423808) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 220365) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2021-03-24 |