| NPI | 1487361499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW126509) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 224946) |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2023-06-13 |