| NPI | 1831176957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 112250) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 002896) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2010-12-17 |