| NPI | 1235288838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 117661) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 213595) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2013-07-26 |