| NPI | 1144587429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MA s21559274) |
| 103T00000X Psychologist | |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-11 |