| NPI | 1477741775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 115460) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 066880) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2010-08-03 |