| NPI | 1184930554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 115400) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 006876) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2010-08-24 |