| NPI | 1548894934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MA 123038) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 223677) |
| 1041C0700X Social Worker, Clinical (Licence: RI ISW03287) | |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2022-11-30 |