| NPI | 1396378592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 225439) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 33913) |
| 1041C0700X Social Worker, Clinical (Licence: MA 125106) | |
| Enumeration Date | 2020-02-15 |
| Last Update Date | 2025-10-20 |