| NPI | 1326772070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MA 228185) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA LICSW1120654) |
| Enumeration Date | 2022-07-10 |
| Last Update Date | 2025-07-03 |