| NPI | 1689873853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW110511) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 110511) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2021-03-13 |