| NPI | 1427620525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 128450) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY P110299) |
| 104100000X Social Worker (Licence: MA 227897) | |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2025-03-14 |