| NPI | 1881994366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 111076) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 264316) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2010-10-29 |