| NPI | 1699043232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121162) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 084611-1) |
| Enumeration Date | 2011-12-10 |
| Last Update Date | 2019-01-28 |