| NPI | 1508598038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 128507) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 000227727) |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2025-04-29 |