| NPI | 1386656718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1029460) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 13347) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2007-09-18 |