| NPI | 1770922890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 126309) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: 126309) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2023-12-06 |