| NPI | 1306281829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW124405) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW127340) |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2026-01-15 |