| NPI | 1750715603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 215685) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MA 426691) |
| 101YP2500X Counselor, Professional (Licence: MA 215685) | |
| 101YS0200X Counselor, School (Licence: MA 426691) | |
| 1041C0700X Social Worker, Clinical | |
| 1041S0200X Social Worker, School (Licence: MA 215685) | |
| 101YM0800X Counselor, Mental Health (Licence: MA 215685) | |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2024-07-30 |