| NPI | 1629216429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 115842) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 215469) |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2021-06-19 |