| NPI | 1851038368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LCSW228955) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: MA 13592) |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2023-02-22 |