| NPI | 1578019568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 224337) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: RI ISW04358) | |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2025-10-01 |