| NPI | 1669954970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 125257) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: MA 000225282) | |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2022-07-26 |