| NPI | 1386877256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 116473) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW9490) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2011-08-24 |