| NPI | 1588478911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA LCSW2120819) |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-06-18 |