| NPI | 1104074012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R037191) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA SW 107614-1) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-04 |