| NPI | 1093992398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 111542) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA E268590) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2016-11-05 |