| NPI | 1811373830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 118994) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 2308c) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-07-31 |