| NPI | 1205835295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW6444) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA SLW1017007) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2009-06-06 |