| NPI | 1194979914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 1913) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1019426) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2021-02-05 |