| NPI | 1992040893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 1806) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 217508) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2021-04-14 |