| NPI | 1992357545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 125102) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 000224931) |
| Enumeration Date | 2019-07-14 |
| Last Update Date | 2022-07-15 |