| NPI | 1730533993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 120416) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2014002646) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2017-06-01 |