| NPI | 1528398807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 118599) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 216041) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2015-02-13 |