| NPI | 1730242645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 115267) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 213165) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2009-10-26 |