| NPI | 1992285803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MA 1029680) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1029680) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-08-20 |