| NPI | 1609016112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 004914) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 110426) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2009-07-19 |