| NPI | 1801047212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MA 214981) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 116715) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2013-08-30 |