| NPI | 1790851418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 115548) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 214021) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2012-09-05 |