| NPI | 1538138482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 113873) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 211351) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2025-03-20 |