| NPI | 1699434878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 126078) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 226521) |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2025-07-07 |