| NPI | 1972671873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 115351) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 006985) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2017-03-02 |