| NPI | 1740430370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 1585) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 215267) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2023-01-31 |