| NPI | 1982288791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 127338) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 226469) |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2024-01-03 |