| NPI | 1073272092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 124924) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LCSW225067) |
| Enumeration Date | 2021-12-17 |
| Last Update Date | 2022-10-25 |