| NPI | 1497813406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 115232) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 213264) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2011-12-19 |