| NPI | 1669927919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 123023) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 000223758) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2020-09-15 |