| NPI | 1518553445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 21820) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW127539) |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2024-06-03 |