| NPI | 1528385937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 124574) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 077930-1) |
| Enumeration Date | 2010-04-24 |
| Last Update Date | 2023-01-26 |