| NPI | 1942521190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MA 116600) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 216151) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2018-05-09 |