| NPI | 1669940847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 223922) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 2917) |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2023-09-12 |