| NPI | 1174348205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1120763) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW25318) |
| Enumeration Date | 2024-11-22 |
| Last Update Date | 2025-08-26 |