| NPI | 1679753008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 116828) |
| 1041C0700X Social Worker, Clinical (Licence: MA 116828) | |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2023-02-06 |