| NPI | 1982110409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 122530) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 223079) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2020-05-13 |