| NPI | 1174773956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 116409) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW02078) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW12412) | |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2015-07-14 |