| NPI | 1235182049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NH LICSW889) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 111655) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-07-08 |