| NPI | 1972088482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1024190-SW-LICSW) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1024190) |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2018-10-01 |