| NPI | 1861723868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 215287) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 008100) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2013-11-21 |