| NPI | 1982829586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 1502) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 111941) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2009-12-08 |