| NPI | 1679129399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 124454) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 000225094) |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2026-07-21 |