| NPI | 1700395886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 5192) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 126962) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2025-05-29 |