| NPI | 1679188841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 128249) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 000227966) |
| 104100000X Social Worker | |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2024-06-26 |