| NPI | 1891845020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114674) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 213408) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2009-02-05 |