| NPI | 1568786473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 1147) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 108000) |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2010-03-22 |