NPI | 1154027084 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1120467) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 5233) |
Enumeration Date | 2023-02-02 |
Last Update Date | 2025-03-03 |