| NPI | 1538676077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 123390) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 000223475) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2021-02-10 |