| NPI | 1891144192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 122052) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 222273) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2024-01-09 |