| NPI | 1659427045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114280) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 2097-C) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2011-02-09 |