| NPI | 1649381336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114254) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 114254) |
| 1041C0700X Social Worker, Clinical (Licence: CA 19670) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-09-15 |