| NPI | 1730459751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 119472) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 085578-1) |
| 101YP2500X Counselor Professional (Licence: MA 13460) | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2022-05-02 |