| NPI | 1922230291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121624) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 217939) |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2022-07-07 |