| NPI | 1083041339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 119623) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 104100000X Social Worker (Licence: MA 219600) | |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2016-05-18 |