| NPI | 1043615230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 118618) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 8746) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2014-10-30 |