| NPI | 1952436024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 111131) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 005168) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2009-08-14 |