| NPI | 1316628175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1121558) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 228838) |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2025-05-06 |