| NPI | 1578683652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 111056) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 2701) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2023-01-02 |