| NPI | 1558041509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LCSW2140936) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 119739) |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2025-07-17 |