| NPI | 1154914034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 124092) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 223774) |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2022-11-08 |