| NPI | 1174821375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1025081) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 1268) |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2011-03-11 |