| NPI | 1760982086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121213) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 221675) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2019-06-05 |