| NPI | 1417516261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW126104) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 000224828) |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2023-12-15 |