| NPI | 1851692370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 122233) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 221452) |
| 104100000X Social Worker | |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2021-02-22 |