| NPI | 1780895862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114840) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: MA 213993) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2022-06-09 |