| NPI | 1932293206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA MA105113) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 105113) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2025-05-19 |