| NPI | 1831799261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 126353) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MA 126353) |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2024-07-01 |