| NPI | 1619639754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MA LICSW128495) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 113290) |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2024-09-13 |