| NPI | 1760788517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 1766) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 114651) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2020-08-19 |