| NPI | 1417582529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW128349) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LCSW226836) |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2025-02-18 |