| NPI | 1659069755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 127343) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA s226558) |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2024-01-02 |