NPI | 1982209011 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA ICSW123715) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 223944) |
Enumeration Date | 2020-12-04 |
Last Update Date | 2023-11-17 |