| NPI | 1841311255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114203LICSW) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 3224LCSW) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2012-02-18 |