| NPI | 1144838202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 000223053) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2022-11-17 |