| NPI | 1720524507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA LICSW126095) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 000222329) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2023-08-04 |