| NPI | 1003409970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 126228) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW15574) |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2023-08-28 |