| NPI | 1841890001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LCSW221990) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 122970) |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2024-10-11 |