| NPI | 1275950685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 118186) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW14298) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2021-02-09 |