| NPI | 1467790808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 117327) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C008077) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2020-09-18 |