| NPI | 1407956204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 115500) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2024-09-05 |