| NPI | 1700967494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 104988) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MA 104988) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2022-10-20 |