| NPI | 1225687817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MA 228146) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1120825) |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2025-10-07 |