| NPI | 1811384894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 1906) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 115326) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2022-07-18 |