| NPI | 1821482613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 120193) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 220266) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2021-09-24 |