| NPI | 1417292772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1022476) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 11965) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2017-04-05 |