| NPI | 1033317649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 115623) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 214001) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2013-01-21 |