| NPI | 1144471756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 118792) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW16537) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2019-08-30 |