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 |