| NPI | 1043336324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121121) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 1369) |
| 1041C0700X Social Worker, Clinical (Licence: NH 2096) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2018-05-30 |