| NPI | 1821358672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 120540) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 218013) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2019-06-19 |