| NPI | 1114338233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 119931) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 219585) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2016-10-12 |