| NPI | 1801030416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1023975) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 35738) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2011-11-23 |