| NPI | 1083789499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121656) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 213786) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-01-17 |