| NPI | 1295907970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 110734) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R0424091) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |