| NPI | 1477883171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 116809) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW02319) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW18233) | |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2021-08-26 |