| NPI | 1376139683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1141336) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW25274) |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2025-11-13 |