NPI | 1902664592 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 342541) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: MA 419440) |
Enumeration Date | 2024-03-08 |
Last Update Date | 2024-03-08 |