| NPI | 1376717488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 115689) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 214752) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2011-04-18 |