| NPI | 1326738923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1142362) |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2026-04-09 |