| NPI | 1780697219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114984) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 213933) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2017-10-04 |