| NPI | 1669618047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 116699) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 215488) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2014-08-04 |