| NPI | 1871738179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 112253) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 036125-1) |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2014-08-10 |