| NPI | 1841485448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041S0200X Social Worker School (Licence: MA 353136) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 1015395) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2007-10-27 |