| NPI | 1932481678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2134) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 119709) |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2019-08-20 |