| NPI | 1760961148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114755-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 114755) |
| 1041C0700X Social Worker, Clinical (Licence: MA 114755) | |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-07 |