| NPI | 1316123532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114581) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 213195) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2018-07-14 |