| NPI | 1164072724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 127320) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 097145) |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2024-10-11 |