| NPI | 1699498931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 229557) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2025-04-04 |