| NPI | 1851447981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 118262) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MA 1620) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-09-17 |