| NPI | 1053709493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 120677) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 219351) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2021-11-29 |