| NPI | 1336673607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LCSW2120280) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 314137) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2025-02-28 |