| NPI | 1194919258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 115866) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 214803) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2016-05-31 |