| NPI | 1518632462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1140170) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 14842) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2026-04-10 |