| NPI | 1407285687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MA LSWA416112) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MA LN89317) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2023-03-10 |