| NPI | 1215422076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121159) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 085319) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |