| NPI | 1962859538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121750) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA S48818805) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2019-02-27 |