| NPI | 1619269412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 119233) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW8233) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2015-09-29 |