| NPI | 1659721678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 975) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1029511) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2021-04-01 |