| NPI | 1811359888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 000123226) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 221803) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2021-03-02 |