| NPI | 1447793849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 121057) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 218319) |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2018-10-16 |