| NPI | 1629509948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 087156) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 120242) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2018-12-12 |