| NPI | 1598103012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 117971) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 14.9015957) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2015-11-02 |