| NPI | 1811240922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 111864) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MA 1704672) |
| 1041S0200X Social Worker, School (Licence: MA 1704672) | |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2012-10-26 |