| NPI | 1245653476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 218407) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: 118846) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2017-11-22 |