| NPI | 1245917772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MA 229200) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1141607) |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2025-11-03 |