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 |