| 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 | 2025-05-19 |