| NPI | 1467684241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 117402) |
| Additional Taxonomies | 104100000X Social Worker (Licence: N/A) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2022-02-18 |