| NPI | 1003567876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1120199) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 227750) |
| 1041C0700X Social Worker, Clinical (Licence: PA SW138705) | |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2025-07-22 |