| NPI | 1033775085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 123434) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 224514) |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2021-02-26 |