| NPI | 1619448131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1020822) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: 1020822-SW-LICSW) |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2018-12-10 |