| NPI | 1568899334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 119641) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 219174) |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2016-05-23 |