| NPI | 1629183892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 108023) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904002192) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-08 |