| NPI | 1326343690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 076125-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 125164) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2023-11-30 |