| NPI | 1083990162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121775) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 221506) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2023-07-14 |