| NPI | 1023588209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121629) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MA 121629) |
| 104100000X Social Worker (Licence: MA 121629) | |
| 171M00000X Case Manager/Care Coordinator (Licence: MA 121629) | |
| 174V00000X Clinical Ethicist (Licence: MA 121629) | |
| 405300000X Prevention Professional (Licence: MA 121629) | |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2018-11-29 |