| NPI | 1306319991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121728) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 000121728) |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-06-07 |