| NPI | 1164695110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 114336) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW8744) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-10 |