| NPI | 1902234875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 216584) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 28023) |
| Enumeration Date | 2013-10-31 |
| Last Update Date | 2023-11-07 |