| NPI | 1548391394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 14) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1016265) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |