| NPI | 1588729024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 111066) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: MA 111066) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2007-07-08 |