| NPI | 1912667031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 124912) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 225503) |
| Enumeration Date | 2021-12-30 |
| Last Update Date | 2022-04-16 |