| NPI | 1871765560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 122683) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34005123A) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2023-06-27 |