| NPI | 1467535781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114409) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 212458) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2022-09-19 |