| NPI | 1659882421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 121707) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 222058) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2018-12-31 |