| NPI | 1699799676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 112241) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 2626) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2024-10-17 |