| NPI | 1619555109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 126535) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 226452) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2023-05-25 |