| NPI | 1558007419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 125170) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 12121) |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2024-03-27 |