| NPI | 1225473002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 118713) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 218366) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2016-05-24 |