| NPI | 1275921827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 119224) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 219092) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2016-02-24 |