| NPI | 1578268595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW126532) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW03791) |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2023-07-17 |