| NPI | 1871075747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: MA 110296) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 1041C0700X Social Worker, Clinical (Licence: MA 110296) | |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2019-11-12 |