| NPI | 1376712406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 114250) |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2017-08-17 |