| NPI | 1386823839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 115073) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 211941) |
| 1041S0200X Social Worker, School (Licence: MA 400530) | |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2019-08-06 |