| NPI | 1184265019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1120877) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW23526) |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2025-02-05 |