| NPI | 1922425495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 127589) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2024-02-05 |