| NPI | 1588428650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW127761) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 013704) |
| Enumeration Date | 2024-02-09 |
| Last Update Date | 2025-01-10 |