| NPI | 1376971077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 118968) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 218508) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2022-07-21 |