| NPI | 1306556337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW126110) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 078738) |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2023-05-22 |