| NPI | 1215378062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 119334) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 119334) |
| 104100000X Social Worker | |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2020-08-26 |