| NPI | 1104515634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LCSW227747) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1120779) |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2025-12-16 |