| NPI | 1134996374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW128190) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 128190) |
| Enumeration Date | 2023-12-07 |
| Last Update Date | 2024-06-18 |