| NPI | 1184940454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 1425) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 114839) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2018-02-13 |