| NPI | 1730730433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 126538) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 226018) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2023-07-12 |