| NPI | 1871895789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 116564) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 216010) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2014-04-17 |