| NPI | 1245272798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 124567) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 2032189) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2023-06-23 |