| NPI | 1205083144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 115211) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 214982) |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2017-01-09 |