| NPI | 1063178010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1121002) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LCSW228504) |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2024-10-23 |