| NPI | 1538385372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 102025) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1022025) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2018-08-23 |