| NPI | 1982894416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 116142) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2025-02-24 |