| NPI | 1669707683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MA 119678) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 119678) |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2023-08-03 |