| NPI | 1932286630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114715) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 23618) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-11-26 |