NPI | 1649992769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1120996) |
Additional Taxonomies | 104100000X Social Worker (Licence: MA 228653) |
Enumeration Date | 2022-09-15 |
Last Update Date | 2025-03-03 |