| NPI | 1043724255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 122770) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 223216) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2020-05-08 |