| NPI | 1215367867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 115268) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 1711) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2016-01-02 |