| NPI | 1659600013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 116122) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 210454) |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2012-03-02 |