| NPI | 1659324945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 113928) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 005208) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2010-01-14 |