| NPI | 1194211227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 116510) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 001253) |
| Enumeration Date | 2018-07-01 |
| Last Update Date | 2018-07-17 |