| NPI | 1518247022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW 116497) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL LCSW 10039) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2018-09-11 |