| NPI | 1861794794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 118198) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 077064-1) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2018-03-17 |