| NPI | 1851537328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114750) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ND 700) |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2009-01-05 |