| NPI | 1063065290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 125921) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA 60965158) |
| 1041C0700X Social Worker, Clinical (Licence: MA 226205) | |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2023-01-05 |