| NPI | 1902177314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 118875) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 082434) |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2015-08-24 |