| NPI | 1851944227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 000122389) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 223027) |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2023-01-31 |