| NPI | 1104076702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 117182) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA S65948197) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2013-03-28 |