| NPI | 1972074474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121981) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 222013) |
| Enumeration Date | 2018-12-09 |
| Last Update Date | 2019-05-10 |