| NPI | 1407082753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 116747) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA S85881884) |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2019-12-06 |