| NPI | 1417314840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 119287) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2021-09-29 |