| NPI | 1861878985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 120110) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 219177) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2022-01-29 |