| NPI | 1477219319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW127033) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 226909) |
| 1041C0700X Social Worker, Clinical (Licence: MA 127033) | |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2023-10-02 |