| NPI | 1649497520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114185) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 071912) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2008-10-15 |