| NPI | 1447568092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 117534) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 215867) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2013-11-20 |