| NPI | 1407123300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114411) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 21884) |
| Enumeration Date | 2011-11-20 |
| Last Update Date | 2023-08-30 |