| NPI | 1689832560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 1726) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 107918) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2013-07-26 |