| NPI | 1629344346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LCSW224033) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MA LCSW224033) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2026-07-13 |