| NPI | 1396391165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW127405) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 000226519) |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2024-01-22 |