| NPI | 1710547112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 227379) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 104100000X Social Worker | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2024-04-11 |