| NPI | 1982155032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121515) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 000221941) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2020-03-16 |