| NPI | 1417211038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 117865) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 217320) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2016-02-14 |