| NPI | 1538763578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 125735) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 225988) |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2022-12-19 |