| NPI | 1386410793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 122057) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 230643) |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2024-07-19 |