| NPI | 1437527686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 221760) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 20830) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2016-09-22 |