| NPI | 1407900780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW 115581) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY LMSW 033435) |
| 1041C0700X Social Worker, Clinical (Licence: NJ LCSW 44-SC00 858400) | |
| 1041C0700X Social Worker, Clinical (Licence: TX LMSW 53469) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2010-05-13 |