| NPI | 1568485340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1029743) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MA RN106120) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2013-01-28 |