| NPI | 1801127287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121392) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 213485) |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2019-05-23 |