| NPI | 1366923633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 122616) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 221957) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2021-01-04 |