| NPI | 1356987754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 124661) |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2022-10-17 |