| NPI | 1710622089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1121089) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 3396) |
| 104100000X Social Worker (Licence: MA 221902) | |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2024-12-06 |