| NPI | 1427661644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1120746) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 228182) |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2025-04-17 |