| NPI | 1508212903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121487) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50080626) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2022-11-21 |