| NPI | 1154867059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 000121840) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 222302) |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2019-03-02 |