| NPI | 1497498323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1120522) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2025-02-26 |