| NPI | 1952691842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 116103) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 29084) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2023-12-21 |