| NPI | 1225536519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 125302) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PR 7597) |
| 1041C0700X Social Worker, Clinical (Licence: CT 12513) | |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2023-01-06 |