| NPI | 1992214563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 225832) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 122229101) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2021-11-19 |