| NPI | 1578631586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1025456LICSW) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1025456) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2018-09-19 |