| NPI | 1972680155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 115855) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 211458) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-09-20 |