| NPI | 1750628517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 119890) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 218086) |
| Enumeration Date | 2013-01-12 |
| Last Update Date | 2016-09-19 |