| NPI | 1760996821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 123156) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 223405) |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2020-11-17 |