| NPI | 1265100812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA PENDING) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 225179) |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2021-08-31 |