NPI | 1285905745 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW124688) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW9201) |
Enumeration Date | 2012-01-15 |
Last Update Date | 2024-08-23 |