| NPI | 1811479900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 123095) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 223927) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2020-10-12 |