| NPI | 1144359456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 113142) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CT 005058) |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2007-07-08 |