| NPI | 1699127852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW122661) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 09040009489) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2024-09-19 |