| NPI | 1194207043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA LICSW1141178) |
| Additional Taxonomies | 1041S0200X Social Worker School |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2025-08-22 |