| NPI | 1770737314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1171750) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 214428) |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2014-06-30 |