| NPI | 1952570285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 10403) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 104030) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-02-20 |