| NPI | 1689804197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114534) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 13632) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2022-05-31 |