| NPI | 1447822440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 113089) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 5823) |
| Enumeration Date | 2021-07-11 |
| Last Update Date | 2025-11-18 |