| NPI | 1962762625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 110749) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MA 405572) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2016-11-03 |