| NPI | 1083862312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 117022) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 215151) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2016-09-06 |