| NPI | 1306566005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA LICSW1121096) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: RI ISW04239) |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2024-10-24 |