| NPI | 1063620466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MA 111144) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MA 111144) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-07-08 |