| NPI | 1134895683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LCSW229975) |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2026-02-04 |