| NPI | 1417980269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1024615) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 004347) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |