| NPI | 1750868402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 111667) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |