| NPI | 1063689891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW115959) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW003953) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2025-03-10 |