| NPI | 1720562093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1030945) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MA 1030945) |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2021-01-08 |