| NPI | 1700165545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 118012) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 217282) |
| 1041S0200X Social Worker, School (Licence: MA 118012) | |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2023-11-20 |