| NPI | 1285905745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW124688) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW9201) |
| Enumeration Date | 2012-01-15 |
| Last Update Date | 2024-08-23 |