| NPI | 1871772632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA #106248) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 106248) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2007-10-29 |