| NPI | 1740503366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 116706) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA S83932926) |
| 1041C0700X Social Worker, Clinical (Licence: FL 10866) | |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2013-10-15 |