| NPI | 1003225657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW117540) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 117540) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW000005933) | |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2025-08-08 |