| NPI | 1467028415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1140829) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 228208) |
| 104100000X Social Worker | |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2025-10-06 |