| NPI | 1841301397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 111696) |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker (Licence: MA 11696) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-03-02 |