| NPI | 1649835901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 22152) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW123701) |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2025-05-01 |