| NPI | 1922680479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 128546) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 229151) |
| Enumeration Date | 2021-04-24 |
| Last Update Date | 2024-10-07 |