| NPI | 1518474824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 18079) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW126879) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2023-08-29 |