| NPI | 1366970667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 123376) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 223676) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2021-03-09 |