| NPI | 1639552672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW121623) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 121623) |
| 1041C0700X Social Worker, Clinical (Licence: CA 68514) | |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2023-05-17 |