NPI | 1538425491 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW123817) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 11545) |
Enumeration Date | 2012-04-04 |
Last Update Date | 2024-01-09 |