| NPI | 1134353667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: MA 432819) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 7233) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2010-05-05 |