| NPI | 1417176868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1031905) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA LICSW) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2012-09-21 |