| NPI | 1316104979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 117758) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 007906) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2013-09-03 |