| NPI | 1699007377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 117214) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IA 06577) |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2013-06-03 |