| NPI | 1326437443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MA 1710045364) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-13 |