| NPI | 1780378331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: MA 314420) | |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2023-06-06 |