| NPI | 1710134044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114585) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R-050804-1) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-20 |