| NPI | 1285761817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 114224) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 212332) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2023-03-23 |