| NPI | 1841345972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 15499) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 211077) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2024-03-08 |