| NPI | 1104335744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 123279) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 222913) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2022-07-21 |