| NPI | 1154470615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 357) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 107330) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2008-03-27 |