| NPI | 1043446586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 120492) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 216188) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2022-07-21 |