| NPI | 1245472547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 111854) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 1413) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |