| NPI | 1013167121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 117270) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 215220) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2017-12-13 |