| NPI | 1962736751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 114524) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 20330) |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2019-01-09 |