| NPI | 1235448481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1026179) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MA 1026179) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2016-12-08 |