| NPI | 1326395435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 118789) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 217481) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2020-01-23 |