| NPI | 1205068079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 118223) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 215821) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2018-03-22 |