| NPI | 1760984777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 124683) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 224725) |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2024-11-11 |