| NPI | 1124466057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 1142) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 114909) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-11-07 |