| NPI | 1629556394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 221891) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2018-08-03 |