| NPI | 1629229760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114819) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 24843) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2012-05-21 |