| NPI | 1326390931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 119514) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 217088) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2017-12-05 |