| NPI | 1154670248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 120801) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 218069) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2018-08-03 |