| NPI | 1104233048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 115914) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MA 406985) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2014-07-11 |