| NPI | 1952453060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114310) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 214413) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2016-11-03 |