| NPI | 1083340012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LCSW229108) |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2024-01-12 |