| NPI | 1063810851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 119604) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 218039) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2016-06-07 |