| NPI | 1134421290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 217139) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 222592333) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2012-01-11 |