| NPI | 1598277071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 122398) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 122398) |
| 104100000X Social Worker (Licence: MA 222812) | |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2021-04-22 |