| NPI | 1740777044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 110452) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MA 110452) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2025-01-08 |