| NPI | 1497361992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 227648-SW-LCSW) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 315167-SW-LSW) |
| 1041C0700X Social Worker, Clinical (Licence: MA 227648) | |
| Enumeration Date | 2020-09-20 |
| Last Update Date | 2023-02-17 |