| NPI | 1699910976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 111652) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 1346) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2010-04-23 |