| NPI | 1457483950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 115531) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 213667) |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2010-01-22 |