| NPI | 1902415813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 124701) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 000224082) |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2022-12-15 |