| NPI | 1023466380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 123979) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 000223020) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2021-10-19 |