| NPI | 1225195753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 000120742) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2018-04-27 |