| NPI | 1326371378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 116563) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 215535) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2011-09-19 |