| NPI | 1285944439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 118066) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 216342) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2018-06-07 |