| NPI | 1205407251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 124655) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 224384) |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2022-10-18 |