| NPI | 1629197595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114316) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 006414) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2011-11-09 |