| NPI | 1972904902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 119373) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA SW 219102-2) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2016-09-16 |