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 |