| NPI | 1518426881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 128484) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 5098) |
| Enumeration Date | 2019-03-17 |
| Last Update Date | 2025-02-04 |