| NPI | 1568726305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 120267) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA S34350686) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2022-07-15 |