| NPI | 1174761399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MA 302384) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 487) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2009-01-26 |