| NPI | 1619555349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 225061) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: 225061) |
| 1041C0700X Social Worker, Clinical (Licence: MA 000124336) | |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2021-11-07 |