| NPI | 1922432053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 227647) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 084385) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2021-12-22 |