| NPI | 1447570171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 1308) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1133335) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2012-05-21 |