| NPI | 1699204461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121077) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 148813) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2018-04-04 |