| NPI | 1942519871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NH 1832) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 118173) |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2021-02-24 |