| NPI | 1457018137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121878) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 2873645) |
| 1041C0700X Social Worker, Clinical | |
| 104100000X Social Worker | |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2022-07-29 |