| NPI | 1588694582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 113465) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 0005639) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2013-08-31 |