| NPI | 1992130629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094208) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 219139) |
| 1041C0700X Social Worker, Clinical | |
| 1041C0700X Social Worker, Clinical (Licence: MA 120230) | |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2023-02-06 |