| NPI | 1548456007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 081035) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 116486) |
| 104100000X Social Worker (Licence: MA 216366) | |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2014-04-18 |