| NPI | 1518559350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 123775) |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2023-05-17 |