| NPI | 1861701088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 117977) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 077906) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2014-08-04 |