| NPI | 1407479603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LCSW229539) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW009014) |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2024-09-12 |