| NPI | 1154935054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 127504) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 000227308) |
| 104100000X Social Worker | |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2025-10-14 |