| NPI | 1356590160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 000122748) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 122748) |
| 1041C0700X Social Worker, Clinical (Licence: NY 049343-1) | |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2023-10-04 |