| NPI | 1720145154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 0561621) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 122803) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2025-05-01 |