| NPI | 1710658364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 125514) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 225760) |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2024-03-20 |